Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000400307 |
Resumo: | OBJECTIVE: This trial has the objective to investigate the incidence of mechanical ankle instability after the conservative treatment of first episode, severe ankle ligamentar lesions. This common lesion affects young, professional and physical active patients, causing important personal and economic consequences. There are difficulties related to adequate diagnosis and treatment for these lesions. METHOD: 186 patients with severe ankle ligament lesions were included in this trial. They were randomized in two treatment options. In group A patients were treated using ankle long orthoosis, weight bearing allowed as confortable, pain care, ice, elevation with restricted joint mobilization for three weeks. After that they were maintained in short, functional orthosis (air cast), starting the reabilitation program. In group B patients were immobilized using a functional orthosis (air cast), following the same other sequences that patients in group A. RESULTS: We did not find significant differences in relation to the residual mechanical ankle instability between both groups. We did not find differences in the intensity of pain, but the functional evaluation using AOFAS score system showed better results in the functional treatment group. CONCLUSION: The functional treatment (Group B) had better AOFAS score and few days off their professional activities, comparing with patients treated with rigid orthosis (Group A), without increased chance in developing ankle mechanical instability. |
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Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatmentAnkle jointLigamentsWounds and injuriesControlled clinical trial OBJECTIVE: This trial has the objective to investigate the incidence of mechanical ankle instability after the conservative treatment of first episode, severe ankle ligamentar lesions. This common lesion affects young, professional and physical active patients, causing important personal and economic consequences. There are difficulties related to adequate diagnosis and treatment for these lesions. METHOD: 186 patients with severe ankle ligament lesions were included in this trial. They were randomized in two treatment options. In group A patients were treated using ankle long orthoosis, weight bearing allowed as confortable, pain care, ice, elevation with restricted joint mobilization for three weeks. After that they were maintained in short, functional orthosis (air cast), starting the reabilitation program. In group B patients were immobilized using a functional orthosis (air cast), following the same other sequences that patients in group A. RESULTS: We did not find significant differences in relation to the residual mechanical ankle instability between both groups. We did not find differences in the intensity of pain, but the functional evaluation using AOFAS score system showed better results in the functional treatment group. CONCLUSION: The functional treatment (Group B) had better AOFAS score and few days off their professional activities, comparing with patients treated with rigid orthosis (Group A), without increased chance in developing ankle mechanical instability. Sociedade Brasileira de Ortopedia e Traumatologia2013-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000400307Revista Brasileira de Ortopedia v.48 n.4 2013reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rbo.2012.11.001info:eu-repo/semantics/openAccessPrado,Marcelo PiresFernandes,Tulio DinizCamanho,Gilberto LuisMendes,Alberto Abussamra MoreiraAmodio,Daniel Tassettoeng2014-02-25T00:00:00Zoai:scielo:S0102-36162013000400307Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2014-02-25T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment |
title |
Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment |
spellingShingle |
Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment Prado,Marcelo Pires Ankle joint Ligaments Wounds and injuries Controlled clinical trial |
title_short |
Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment |
title_full |
Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment |
title_fullStr |
Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment |
title_full_unstemmed |
Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment |
title_sort |
Mechanical instability after acute ankle ligament injury: randomized prospective comparison of two forms of conservative treatment |
author |
Prado,Marcelo Pires |
author_facet |
Prado,Marcelo Pires Fernandes,Tulio Diniz Camanho,Gilberto Luis Mendes,Alberto Abussamra Moreira Amodio,Daniel Tassetto |
author_role |
author |
author2 |
Fernandes,Tulio Diniz Camanho,Gilberto Luis Mendes,Alberto Abussamra Moreira Amodio,Daniel Tassetto |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Prado,Marcelo Pires Fernandes,Tulio Diniz Camanho,Gilberto Luis Mendes,Alberto Abussamra Moreira Amodio,Daniel Tassetto |
dc.subject.por.fl_str_mv |
Ankle joint Ligaments Wounds and injuries Controlled clinical trial |
topic |
Ankle joint Ligaments Wounds and injuries Controlled clinical trial |
description |
OBJECTIVE: This trial has the objective to investigate the incidence of mechanical ankle instability after the conservative treatment of first episode, severe ankle ligamentar lesions. This common lesion affects young, professional and physical active patients, causing important personal and economic consequences. There are difficulties related to adequate diagnosis and treatment for these lesions. METHOD: 186 patients with severe ankle ligament lesions were included in this trial. They were randomized in two treatment options. In group A patients were treated using ankle long orthoosis, weight bearing allowed as confortable, pain care, ice, elevation with restricted joint mobilization for three weeks. After that they were maintained in short, functional orthosis (air cast), starting the reabilitation program. In group B patients were immobilized using a functional orthosis (air cast), following the same other sequences that patients in group A. RESULTS: We did not find significant differences in relation to the residual mechanical ankle instability between both groups. We did not find differences in the intensity of pain, but the functional evaluation using AOFAS score system showed better results in the functional treatment group. CONCLUSION: The functional treatment (Group B) had better AOFAS score and few days off their professional activities, comparing with patients treated with rigid orthosis (Group A), without increased chance in developing ankle mechanical instability. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000400307 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000400307 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rbo.2012.11.001 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.48 n.4 2013 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122358745792512 |